NPTE Pass Rate Analysis

NPTE Pass Rate — The Complete Breakdown (2026)

The latest data on NPTE pass rates — first-time vs retaker rates, school-by-school variation, international candidate outcomes, and what the numbers actually mean for your preparation. Sourced directly from the Federation of State Boards of Physical Therapy (FSBPT).

The Headline Numbers

What the FSBPT Data Actually Says

2024 First-Time Pass Rate
88.9%
National pass rate for first-time US-educated PT candidates per FSBPT exam year data.
2024 Ultimate Pass Rate
97.5%
Percentage of candidates who eventually pass the NPTE across all attempts combined.
86.6%
2025 First-Time Pass Rate
Slight year-over-year decrease from 2024
40–55%
Retaker Pass Rate
Second attempt pass rate drops sharply
40–60%
Internationally Educated
Significantly lower first-time rate
Source: FSBPT NPTE Exam Year Reports — data current as of most recent published cycle.

First-Time vs Retaker

The First-Attempt Advantage — Why It Matters More Than You Think

Passing on the first attempt isn’t just preferable — it’s statistically one of the strongest predictors of whether you pass at all.

First-Time Candidates
~88–92%
US-educated first-time candidates pass at high rates. Content knowledge is freshest, clinical skills are most recent from rotations, and cognitive load is manageable.
Second Attempt Retakers
~40–55%
Once you fail, the odds drop significantly. Time since graduation, accumulated stress, and confidence loss all work against retakers.
What FSBPT Says Directly

“Based on evidence we have from test scores since 2008, candidates who have failed the NPTE twice or more are unlikely to pass on any subsequent attempt.”

FSBPT Important Retake Information

The pattern is consistent year over year. First-time candidates have the best preparation window — clinical reasoning is sharp from recent rotations, content from didactic coursework is still accessible, and the psychological burden is significantly lower than what retakers face.

Retakers face a different challenge entirely. By the second attempt, graduation is months or years in the past, full-time work or family obligations have often taken priority, and the experience of failing once creates real psychological pressure that test preparation materials alone do not address. The statistics reflect this reality — and they reinforce why first-attempt preparation strategy is the single most important investment a DPT student can make in their NPTE journey.

Program Variation

DPT Program Pass Rates Vary Dramatically

FSBPT publishes program-by-program pass rate data publicly. The range between best and worst performing DPT programs is wider than most students realize.

Top Performing
100%
Multiple DPT programs report 100% first-time pass rates across 2023–2024 cohorts.
National Average
~87%
The national average sits between 86–89% for first-time candidates in recent years.
Lowest Performing
~43%
Some programs report first-time pass rates below 50% — a significant red flag.

When prospective students evaluate DPT programs, NPTE pass rate is one of the single most important data points available — and one of the most public. FSBPT’s Two-Year First-Time Pass Rates by School report is freely available and updated quarterly.

The range is wider than many assume. Among accredited DPT programs, first-time pass rates range from above 96% at top programs to below 45% at the lowest-performing. This spread reflects real differences in curriculum quality, clinical education, admissions selectivity, and remediation programming.

For current DPT students, program pass rates set a realistic baseline expectation — but they do not determine individual outcomes. Students at programs with lower overall pass rates can absolutely pass on the first attempt with the right preparation strategy. And students at top-performing programs should not assume the program’s reputation substitutes for targeted personal preparation.

Retake Rules

What Happens When You Fail the NPTE

The FSBPT retake rules and what they mean for your timeline and licensure path.

Wait Period Between Attempts
45 days minimum
FSBPT requires a 45-day wait between attempts. In practice, most retakers wait longer because they test on the next scheduled exam window, which occurs roughly every 3 months.
Attempts Per Year
3 per 12 months
You can sit for the NPTE a maximum of three times in any rolling 12-month period — aligned with the quarterly exam administration windows.
Lifetime Maximum
6 total attempts
Most states and jurisdictions cap candidates at six lifetime NPTE attempts. After that, pursuing licensure as a physical therapist in the United States is no longer possible.
Retake Fee Per Attempt
$485
Every retake costs $485 in exam fees alone — not counting state re-registration fees, lost income during preparation time, and the cost of additional prep resources.

State-level rules may add further restrictions. Some jurisdictions require formal remediation coursework after a certain number of failed attempts, and some have stricter lifetime caps than the federal six-attempt maximum. Always confirm your specific state’s requirements with your licensing board before scheduling a retake.

Why Students Fail

The Three Most Common Reasons Students Fail the NPTE

Patterns from students who failed on first attempt and successfully retook the exam.

1
Studying from a fixed question bank without targeting weak areas
Most students run through question banks linearly, reinforcing what they already know and under-studying their actual gaps. Without an objective measure of readiness by content area, it’s impossible to know where to focus.
2
Under-preparing for non-systems and cardiopulmonary content
Non-system topics are ~24% of the exam and students routinely under-study them because they feel less clinically rigorous. Cardiopulmonary gets similar treatment — it’s a smaller weight (7%), but missing most of those questions is a real scoring liability.
3
Sitting for the exam before readiness is actually confirmed
Feeling prepared and being prepared are different things. Students commonly schedule their exam based on graduation timing or calendar convenience rather than demonstrated readiness. Without an objective PraxScore, this decision becomes a guess.

Improve Your Odds

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FAQ

NPTE Pass Rate — Common Questions

The most recent NPTE first-time pass rate published by FSBPT was 88.9% for the 2024 exam year and 86.6% for 2025. Ultimate pass rates — which include all attempts — run around 93–97.5%. Data is updated annually by FSBPT on their exam year reports page.

Retakers pass at roughly half the rate of first-time candidates. Where first-time US-educated candidates pass at ~88–92%, second-attempt retakers pass at roughly 40–55%. Each subsequent attempt drops lower. FSBPT explicitly states that candidates who have failed twice or more are unlikely to pass on subsequent attempts.

FSBPT publishes program-specific data quarterly through their NPTE Pass Rates By Program report. The report shows two-year first-time pass rates for every accredited DPT program in the United States. Your program’s outcomes page on their website will also typically publish these numbers.

Internationally educated first-time candidates pass at roughly 40–60%, significantly lower than US-educated candidates. The gap reflects differences in curriculum alignment with US clinical practice patterns, language and testing format differences, and the time that has often elapsed between foreign education completion and NPTE testing. Targeted preparation that addresses US-specific clinical reasoning patterns is critical for this population.

FSBPT allows up to 3 attempts per rolling 12-month period with a 45-day minimum wait between attempts, and a lifetime maximum of 6 total attempts. Some states have additional restrictions or require remediation after certain thresholds. Check with your state licensing board for specific rules.

The NPTE examination fee is $485 per attempt. State re-registration fees and testing center fees may add additional costs depending on your jurisdiction. Failing once creates a real financial burden — failing twice can delay the start of your career by 6 months or more when factoring in wait periods and additional prep time.